Boby Varkey Maramattom @bobvarkey
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Lead consultant Neurologist, Aster Medcity, Kochi, India. Internal medicine faculty Royal college of UK https://twitter.com/bobvarkey
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Bilateral LMN palsy with tongue weakness, wasting and fasciculations.  →  Bulbar motor Neuron disease

Note
Bilateral LMN palsy ... with tongue weakness ... this from an UMN palsy ... @bobvarkey #tongue ... CN12 #clinical #video
Left Tongue Deviation caused by UMN XII palsy

Looks can be deceiving. The UMN innervation of most
Left Tongue Deviation ... caused by UMN XII palsy ... left LMN XII n palsy ... bobvarkey #Left #Tongue ... #clinical #video
Tongue Fasciculations in ALS

Dr. Boby Varkey Maramattom @bobvarkey

#Tongue #Fasciculations #ALS #clinical #video #physicalexam #neurology
Tongue Fasciculations ... @bobvarkey #Tongue ... ALS #clinical #video
Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
left 6th nerve palsy ... physicalexam #clinical #video
Haemolacria and Spontaneous Globe Rupture on Physical Exam

One of the most horrendous complications of Dengue hemorrhagic
complications of Dengue ... ocular #clinical #video ... ophthalmology #dengue
Portosystemic collaterals in Cirrhosis

Milking abdominal veins demonstrates centrifugal blood flow in caput medusae.

Dr. Boby Varkey Maramattom
medusae #clinical #video
1 Minute Neuro Hand Examination - "Check your Six" Mnemonic

A simple way to test the peripheral
Physicalexam #clinical #video
Opsoclonus Myoclonus Ataxia Syndrome (OMAS) on Physical Exam

Dancing eyes and dancing feet in an adult [Aka-
PhysicalExam #clinical #video
Anterior Interosseous Peripheral Nerve Injury 

Manifested as the inability to make the OK sign.

by Dr. Boby
OKSign #clinical #video
Synkinetic Wrist Extension Maneuver demonstrating Radial Nerve Palsy as cause for Wrist Drop

Up up, down down.
demonstrating Radial Nerve Palsy ... lower radial nerve palsy ... - Radial nerve palsy ... Radial #Nerve #Palsy ... Drop #clinical #video